Identity Theft Expense Reimbursement Evidence of Coverage

DEFINITIONS: 

Throughout this document, “You” and “Your” refer to the individual or Family Member who is a covered accountholder of the Program Sponsor as defined by the terms and conditions for the identity theft group services program. The covered account must be active. “We” and “Us” refer to Lyndon Southern Insurance Company. In addition, when in bold certain words and phrases are defined as follows:

• • Administrator means SOURCE INTERNATIONAL, INC. You may contact them if you have questions regarding this coverage or would like to make a claim. They can be reached by phone at 904-215-8804, mail at ID THEFT,  621  Saint Johns Avenue, Palatka, FL  32117, or email at IDTHEFT@source-intl.com.

  • Coverage Period means the period starting on the Coverage Effective Date. Coverage will continue for as long as Your covered account is active. (This standing is defined by the terms and conditions for the identity theft group services program.) Coverage will stop if You or the Program Sponsor cancel Your covered account.

  • Domestic Partner means an unmarried person in an intimate, committed relationship of mutual caring. They must share responsibility for basic living expenses with You. They must be at least eighteen (18) years old and not currently married and/or committed to another person.

  • Evidence of Coverage (EOC) means this document. It describes the terms, conditions, and exclusions. The EOC is the entire agreement between You and Us. Representations or promises made by anyone that are not contained in this EOC are not a part of Your coverage.

  • Family Member means spouse or domestic partner or the member and includes dependents under the age of 25 who have the same permanent address. Any handicapped adult living in the same household who requires assistance from the family to manage their affairs, and parents (mother or father) of the member who have the same permanent address as the member, or who are registered in a senior assisted living facility, skilled nursing home, hospice, or who have been deceased for twelve months or less. 

  • Identity Theft means the use of Your name, address, Social Security number (SSN), bank or credit card account number, or other identifying information without Your knowledge to commit fraud or other crimes.

  • Identity Theft Expenses mean the following: 

1) Legal Expenses: Reasonable and necessary attorney fees or court costs associated with defending any suit brought against You by merchants, financial institutions or other credit grantors, or their collection agencies, or the removal of any criminal or civil judgment wrongly entered against You as a result of Identity Theft;

2) Lost Wages: Actual U.S. wages or salary You lose as a direct result of time off work taken by You to report or address the effects of Identity Theft;

3) Miscellaneous: Loan applications fees, long distance telephone costs, mailing and postage costs, costs of having affidavits or other documents notarized. Costs to purchase up to four (4) credit reports from any of the three major credit bureaus (Experian, Equifax, or TransUnion).  The credit reports may be purchased only after the Identity Theft has occurred and for the purpose of correcting inaccuracies that occur as a result of Identity Theft.

• • Coverage Effective Date means the date You were advised that coverage was effective by the Program Sponsor.

COVERAGE AGREEMENT

We will reimburse You or a Family Member for Identity Theft Expenses You incur as a result of an Identity Theft incident that occurs or was first known to You during the Coverage Period. Coverage is secondary to any other applicable insurance or coverage available to You. This EOC is not transferable to another person or entity.

LIMITATIONS

Coverage is limited to Your actual Identity Theft Expenses, not to exceed a total of $10,000. Coverage is further limited to 

$500.00 USD per week, for up to four (4) weeks for Lost Wages.

There is a limit of one (1) Identity Theft incident per twelve (12) month period.

DEDUCTIBLE

There is a $0.00 USD deductible per claim.

EXCLUSIONS

Coverage does not apply to:

• • Any Identity Theft Expense not listed in “DEFINITIONS”;

  • Any act of theft, deceit, collusion, dishonesty or criminal act by You or any person acting in concert with You, or by any authorized representative of You, whether acting alone or in collusion with You or others;

  • Damages or losses arising from the theft or unauthorized or illegal use of Your business name, d/b/a/ or any other method of identifying Your business activity;

  • Any lost wages due to sickness or emotional breakdown; 

  • Damages or losses of any type for which the credit card company, bank, creditor, etc. is legally liable;

  • Identity Theft Expenses that were incurred or commenced from a known Identity Theft incident that occurred prior to the Coverage Period;

  • Damages or losses of any type resulting from fraudulent charges or withdrawal of cash from a debit or credit card or financial/bank/investment account;

  • Any incident involving a loss or potential loss not notified to the relevant police authority within seventy-two (72) hours from the date You had knowledge of the loss;

  • Fees or costs associated with the use of any investigative agencies or private investigators.

  • Identity Theft caused by a family member.

WHAT TO DO IF YOU ARE A VICTIM OF IDENTITY THEFT

• • Contact NXG Strategies at 615-823-1311 for assistance upon discovery of Your Identity Theft problem. 

  • Notify the Administrator within ten (10) days of discovery of Your Identity Theft problem. 

  • Notify the police in Your local jurisdiction within seventy-two (72) hours from the date You had knowledge of the Identity Theft loss. Obtain a copy of the police report, if available.

HOW TO FILE A CLAIM

To file a claim, You or a Family Member must contact the Administrator by phone or email within thirty (30) days of the date of the Identity Theft. Otherwise, the claim may be denied. A claim form will be sent to You. The fully completed claim form must be returned to the Administrator at ID THEFT, 621 Saint Johns Avenue, Palatka, FL  32117 with: 

• 1. Completed and signed claim form.

  2. Proof that a fraud alert was placed with each major credit bureau (Experian, Equifax, TransUnion, etc.) immediately after discovery of Identity Theft;

  3. Copy of the complaint filed with the Federal Trade Commission (FTC);

  4. Copy of settlement reached by each party (creditors, collection agency, banks, etc.) involved with Your Identity Theft incident; 

  5. Copy of a police report from Your local jurisdiction;

  6. Copy of all receipts, bills or other records that support the Identity Theft Expenses incurred by You;

  7. Any other documentation that may be reasonably requested to validate a claim.

All these required items, including the claim form, must be postmarked within sixty (60) days of the date of the loss. Otherwise, the claim may be denied.

GENERAL PROVISIONS

Coverage is provided under a Group Policy issued by Lyndon Southern Insurance Company. This EOC is a summary of benefits provided to You.

• • Cancellation and Non-Renewal. MEMBERS LOYALTY TRUST, the Program Sponsor, or Lyndon Southern Insurance Company can cancel or choose not to renew this coverage upon the expiration of coverage. If this happens, the Program Sponsor will notify You at least sixty (60) days in advance of the expiration of this coverage. Such notices need not be given if substantially similar replacement coverage takes effect without interruption and is provided by the same insurer. If the Group Policy for this EOC is canceled or non-renewed by either MEMBERS LOYALTY TRUST or Lyndon Southern Insurance Company, the coverage benefits will continue to be in force for the period for which premium has already been paid to Lyndon Southern Insurance Company. 

  • Claims. Benefits payable under this EOC for any Identity Theft Expenses will be paid upon receipt of due proof of the Identity Theft, and all required information necessary to support the claim. 

  • Misrepresentation and Fraud. Coverage for You or a Family Member may be cancelled if You or a Family Member have concealed or misrepresented any material fact or circumstance concerning this coverage or the subject thereof, or the interest of You or a Family Member therein. Coverage may also be cancelled if You or a Family Member commit fraud or false swearing in connection with any of the above.

  • Other Insurance. Coverage is secondary to any other applicable insurance or indemnity available to You or a Family Member. Coverage is limited to only those amounts not covered by any other insurance or indemnity. It is subject to the conditions, limitations, and exclusions described in this document. In no event will this coverage apply as contributing insurance. This Other Insurance clause will take precedence over a similar clause found in other insurance or indemnity language.

  • Legal Actions. No action at law or in equity shall be brought to recover under this EOC prior to the expiration of sixty (60) days after proof of the Identity Theft has been furnished in accordance with the requirements of this coverage.

  • Subrogation. If payment is made under this EOC, We are entitled to recover such amounts from other parties or persons. You must transfer to Us Your rights to recovery against any other party or person. You must also do everything necessary to secure these rights and must do nothing that would jeopardize them, or these rights will be recovered from You.

  • Dispute Resolution. The identity theft group services program benefits are subject to the terms and conditions outlined and include certain restrictions, limitations, and exclusions. In the event of any conflict between the EOC and the Group Policy, the Group Policy will govern. The Group Policy is on file at the offices of the Administrator. The EOC shall be interpreted and enforced according to the laws of the state of Delaware.

Obtain a copy of the specific Evidence of Coverage with your financial institution.